| NPI | 1578934246 | 
|---|---|
| Doing Business As | JWCH (RAINBOW HOTEL) | 
| Entity Type | Organization | 
| Authorized Contact | ALVARO BALLESTEROS Chief Executive Officer 323-201-4516  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261Q00000X Clinic/Center | 
| Enumeration Date | 2015-10-07 | 
| Last Update Date | 2016-05-16 |